Randall J Guttridge, D.O.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

OS8673 Issued in FL

Practice address

8202 Washington St
Port Richey, FL 34668-6695

Phone

(727) 819-1610

Fax

(727) 868-0596

NPI assigned

Oct 2, 2006

Last updated

Mar 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kratz Allergy Asthma & Immunology Associates PA

  • Allergy & Immunology Physician
  • Port Richey, FL
  • NPI 1891789293
  NPD
• Allergy&Asthma Centre

  • Allergy Physician
  • St Petersburg, FL
  • NPI 1164638367
  NPD (past)
• Bay Dermatology and Cosmetic Surgery P a

  • Dermatology Physician
  • Port Richey, FL
  • NPI 1437148996
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1932292562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 WASHINGTON ST",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686695",
            "telephone_number": "727-819-1610",
            "fax_number": "727-868-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 WASHINGTON ST",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686695",
            "telephone_number": "727-819-1610",
            "fax_number": "727-868-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTRIDGE",
        "first_name": "RANDALL",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "OS8673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "593480541",
            "identifier": "TAX I.D. NUMBER",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE I.D. #",
            "identifier": "0200484",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulfside Health & Rehab Center LLC
• Gulfview Chiropractic & Wellness Clinic, PA
• Kristine K Guten
• Owen Guthrie, MS
• Susana Gutierrez Gimenez
• Randa Hafez-Lux, ITDS
• Anitra Hall-Jeter, LPN
• Brian Hall
• Charles Franklin Halley, DC
• Linda Elaine Harper Gorski, PH.D.

• Allergy & Immunology Physician in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.